Bush, Michael M.

Bush, Michael M. is an individual health care provider with primary practice located at 601 John St Suite M283, Kalamazoo MI 49007-5341. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bush, Michael M. can be contacted via phone (269) 349-7696.

Contact Information

Primary practice address
601 John St Suite M283 Kalamazoo MI 49007-5341
Fax: (269) 488-8313
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601005629 Michigan

Profile Details

NPI number 1518290345
LBN Legal business name Bush, Michael M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Oct 31st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518290345 NPPES
Michigan Other 5390078 BCBS
Michigan Other 5601005629 BCBS

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